Undoubtedly, a proportion of clinician’s take this position. However the lack of a established treatments is rather a problem, don’t you agree? IMHO, homosexuality is plainly aberrant, does cause some of those who experience it grief, and ought to be studied where that can be done ethically.
. This condition is very rare, and little studied. Cases of persons ingesting the material in question (the key health risk) are even rarer. I don’t know what purpose is served in introducing it into this discussion - declaring coprophilia to be a “disorder” would be unlikely to upset anyone, so it does not support an argument of political bias in the DSM.
In the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), it is classified under ‘Paraphilia Not Otherwise Specified’ (PNOS) along with other paraphilias such as necrophilia, zoophilia, klismaphilia, and telephone scatophilia. As with all paraphilias in the PNOS category, diagnosis is only made “if the behavior, sexual urges, or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning…Fantasies, behaviors, or objects are paraphilic only when they lead to clinically significant distress or impairment (e.g., are obligatory, result in sexual dysfunction, require participation of non-consenting individuals, lead to legal complications, interfere with social relationships)”. The psychologist Dr Tamara Penix (Eastern Michigan University, USA) says there are no data indicating successful treatment of coprophilia. So, across a wide range of conditions, where the behaviour of the individuals concerned is puzzling (to say the least), and not easily explainable rationally, the DSM excludes them on grounds which are pragmatic. Again, I repeat that such should not be understood to be equivalent to saying “all is well with the people affected with these conditions”, but rather that, in all the circumstances (viz: lack of harm to others, no reduction in capacity to function socially, lack of patient desire for treatement, etc. etc.) there is “no compelling case for treatment”. *
Individuals thinking about suicide deserve help, whether or not they are homosexual. And for those that are homosexual, that treatment is unlikely to be directed at lifting their same sex attraction and instilling opposite sex attraction, for no means to do that is known.*
My point was that the standards are subjective, not pragmatic.